Anisocoria: ndichiyani, zimayambitsa zazikulu ndi zoyenera kuchita

Zamkati

• 6 zoyambitsa zazikulu za anisocoria
• 1. Kuphulika kumutu
• 2. Migraine
• 3. Kutupa kwa mitsempha yamawonedwe
• 4. Chotupa chaubongo, aneurysm kapena sitiroko
• 5. Wophunzira wa Adie
• 6. Kugwiritsa ntchito mankhwala ndi zinthu zina
• Nthawi yoti mupite kwa dokotala

Anisocoria ndi mawu azachipatala omwe amagwiritsidwa ntchito polongosola ana asukulu mosiyanasiyana, ndi ina yocheperapo kuposa inayo. Anisocoria iyomwe siyimayambitsa zizindikiro, koma chomwe chingakhale chiyambi chake chimatha kubweretsa zizindikiro, monga kuzindikira kuwala, kupweteka kapena kusawona bwino.

Nthawi zambiri, anisocoria imachitika pakakhala vuto m'manjenje kapena m'maso, chifukwa chake, ndikofunikira kupita mwachangu kwa ophthalmologist kapena kuchipatala kuti muzindikire chomwe chimayambitsa ndikuyamba chithandizo choyenera kwambiri.

Palinso anthu ena omwe amatha kukhala ndi ana osiyanasiyana tsiku ndi tsiku, koma munthawi izi, nthawi zambiri sichizindikiro chavuto, ndi gawo chabe la thupi. Chifukwa chake, anisocoria iyenera kungokhala chifukwa chodzidzimutsa ikadzuka mphindi imodzi kupita kwina, kapena pambuyo pangozi, mwachitsanzo.

6 zoyambitsa zazikulu za anisocoria

Pali zifukwa zingapo zomwe zimapangitsa ana kukhala osiyana kukula, komabe, zomwe zimafala kwambiri ndi izi:

1. Kuphulika kumutu

Mukamenyedwa mwamphamvu pamutu, chifukwa cha ngozi yapamsewu kapena pamasewera olimbitsa thupi, mwachitsanzo, mutu ungayambike, pomwe ma fracture ang'onoang'ono amawonekera pachigaza. Izi zimatha kuyambitsa kukha mwazi muubongo, komwe kumatha kukakamiza gawo lina laubongo lomwe limayang'anira maso, ndikupangitsa anisocoria.

Chifukwa chake, ngati anisocoria ibuka pambuyo pomenyedwa pamutu, itha kukhala chizindikiro chofunikira cha kukha mwazi muubongo, mwachitsanzo. Koma pazochitikazi, zizindikiro zina zitha kuwonekeranso, monga kutuluka magazi m'mphuno kapena m'makutu, kupweteka mutu kwambiri kapena kusokonezeka komanso kusakhazikika. Dziwani zambiri zakusokonekera kwamutu ndi zizindikilo zake.

Zoyenera kuchita: thandizo lachipatala liyenera kuyitanidwa mwachangu, kuyimba 192 ndikupewa kusuntha khosi lanu, makamaka pambuyo pangozi zapamsewu, chifukwa pakhoza kukhala kuvulala kwamtsempha.

2. Migraine

Nthawi zambiri migraine, kupweteka kumatha kukhudza maso, zomwe sizingapangitse kuti chikope chimodzi chigwere, komanso kuti mwana mmodzi atambasuke.

Kawirikawiri, kuti mudziwe ngati anisocoria ikuyambitsidwa ndi mutu waching'alang'ala, muyenera kuwunika ngati pali zizindikiro zina za mutu waching'alang'ala, monga mutu wowawa kwambiri makamaka mbali imodzi ya mutu, kusawona bwino, kuzindikira kuwala, kuvuta kuyang'ana kapena kuzindikira phokoso.

Zoyenera kuchita: njira yabwino yothanirana ndi kupweteka kwa migraine ndikupumula mchipinda chamdima ndi chamtendere, kuti mupewe zoyipa zakunja, komabe, palinso mankhwala ena omwe angalimbikitsidwe ndi adotolo ngati migraine imachitika pafupipafupi. Njira ina ndikumwa tiyi wa msuzi, chifukwa ndi chomera chomwe chimathandiza kuthetsa mutu komanso mutu waching'alang'ala. Umu ndi momwe mungakonzekerere tiyi.

3. Kutupa kwa mitsempha yamawonedwe

Kutupa kwa mitsempha yotchedwa optic nerve, yomwe imadziwikanso kuti optic neuritis, imatha kuchitika chifukwa cha zifukwa zingapo, koma nthawi zambiri imayamba mwa anthu omwe ali ndi matenda omwe amadzitchinjiriza, monga multiple sclerosis, kapena matenda opatsirana ndi ma virus, monga nthomba kapena chifuwa chachikulu. Ikamatuluka, kutupa uku kumalepheretsa kufalikira kwazidziwitso kuchokera kuubongo kupita m'maso ndipo, ngati zingakhudze diso limodzi lokha, zimatha kubweretsa mawonekedwe a anisocoria.

Zizindikiro zina zofala pakatupa kwamitsempha yamawonedwe zimaphatikizapo kutayika kwa masomphenya, kupweteka kusuntha diso komanso ngakhale kusiyanitsa mitundu.

Zoyenera kuchita: Kutupa kwa mitsempha ya optic kumafunika kuthandizidwa ndi ma steroids omwe adalangizidwa ndi dokotala ndipo, nthawi zambiri, chithandizo chimayenera kuyambitsidwa ndi jakisoni mumtsinje. Chifukwa chake, ndibwino kuti mupite kuchipatala mwachangu, ngati zizindikiritso zakusintha kwa diso zikuwonekera mwa anthu omwe ali ndi matenda omwe amadzitchinjiriza kapena omwe ali ndi matenda a virus.

4. Chotupa chaubongo, aneurysm kapena sitiroko

Kuphatikiza pa zowawa zam'mutu, vuto lililonse laubongo monga chotupa chomwe chikukula, aneurysm kapena sitiroko, imatha kuyika gawo laubongo mpaka kumapeto ndikusintha kukula kwa ophunzira.

Chifukwa chake, ngati kusinthaku kumachitika popanda chifukwa kapena ngati kukuyenda ndi zizindikilo monga kumva kulira kwa gawo lina la thupi, kumva kukomoka kapena kufooka mbali imodzi ya thupi, muyenera kupita kuchipatala.

Zoyenera kuchita: Pomwe pali kukayikira za vuto laubongo, muyenera kupita kuchipatala kuti mukapeze chomwe chimayambitsa matendawa ndikuyamba chithandizo choyenera kwambiri. Onani zambiri zakuchiza chotupa chaubongo, aneurysm kapena stroke.

5. Wophunzira wa Adie

Ichi ndi matenda osowa kwambiri omwe m'modzi mwa ophunzira samachita ndi kuwalako, amangokhalira kusungunuka, ngati kuti nthawi zonse amakhala m'malo amdima. Chifukwa chake, anisocoria yamtunduwu imatha kuzindikirika mosavuta ikakhala padzuwa kapena ikamajambula ndi flash, mwachitsanzo.

Ngakhale silili vuto lalikulu, limatha kuyambitsa zizindikilo zina monga kusawona bwino, kuvuta kuyang'ana, kuzindikira kuwala komanso kupweteka mutu.

Zoyenera kuchita: vutoli lilibe chithandizo chapadera, komabe, katswiri wa maso amatha kulangiza kugwiritsa ntchito magalasi ndi digirii kuti athe kukonza masomphenya osawoneka bwino, komanso kugwiritsa ntchito magalasi oteteza dzuwa kuti asatengeke ndi dzuwa.

6. Kugwiritsa ntchito mankhwala ndi zinthu zina

Mankhwala ena amatha kuyambitsa anisocoria mutagwiritsa ntchito, monga clonidine, mitundu yosiyanasiyana ya diso, scopolamine zomatira ndi aerosol ipratropium, ngati zingakumane ndi diso. Kuphatikiza pa izi, kugwiritsa ntchito zinthu zina, monga cocaine, kapena kulumikizana ndi makola olimbana ndi utitiri kapena kupopera nyama kapena zida za organophosphate kungayambitsenso kusintha kukula kwa ophunzira.

Zoyenera kuchita: Ngati poyizoni wazipangizo kapena zochita atagwiritsa ntchito mankhwala, tikulimbikitsidwa kupita kuchipatala kuti tipewe zovuta kapena kuyimbira 192 ndikupempha thandizo. Ngati anisocoria imabwera chifukwa chogwiritsa ntchito mankhwala ndi zizindikiro zake, dokotala ayenera kubwezedwa kuti akawunikire kusinthana kapena kuyimitsidwa kwa mankhwalawo.

Nthawi yoti mupite kwa dokotala

Pafupifupi milandu yonse ya anisocoria ndikofunikira kuti mukaonane ndi adotolo kuti mudziwe chomwe chikuyambitsa, komabe, zitha kukhala zadzidzidzi pomwe zikwangwani monga:

• Malungo pamwamba 38ºC;
• Kupweteka pamene kusuntha khosi;
• Kumva kukomoka;
• Kutaya masomphenya
• Mbiri yakusokonekera kapena ngozi;
• Mbiri yolumikizana ndi ziphe kapena kugwiritsa ntchito mankhwala osokoneza bongo.

Zikatero, muyenera kupita kuchipatala mwachangu chifukwa izi zimatha kuwonetsa matenda kapena mavuto ena akulu, omwe sangachiritsidwe kuofesi ya dokotala.